go back

Pennsylvania rates for HCPCS J7606

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

Facilitymedian $5 · 10th–90th $2$110%20%10th90th$5Professionalmedian $2 · 10th–90th $2$70%50%90th$2$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $5.37 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $8.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $6.17 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $16.98 / $18.20
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $4.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.69 / $19.50
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.00 / $2.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $9.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.68 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.19 / $3.72