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South Carolina 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 / $3.80 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.76 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.91 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.40 / $7.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.24 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.17 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.19