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South Carolina rates for HCPCS J7606

Formoterol Fumarate Inhalation Solution Fda Approved Final Product

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $8.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $6.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $7.71 / $21.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.89 / $7.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.00 / $8.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.18 / $4.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.70 / $2.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $2.73