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Oklahoma rates for HCPCS J7606

Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.34 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $19.05 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.24 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.95 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.19 / $2.24