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Pennsylvania 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
$2.24 / $5.37 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $16.98 / $18.20
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $4.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $5.37 / $13.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.24 / $6.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.79 / $9.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.79 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.68 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $3.80