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Formoterol Fumarate Inhalation Solution

South Dakota rates for HCPCS J7606 · Perforomist

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

Rates data updated July 2026.

How much does Formoterol Fumarate Inhalation Solution cost?

$1.82per 20 mcg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1.82 for each 20 mcg of this drug. The price depends on where it is billed: about $1.82 from a physician practice, and about $1.78 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 20 mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$1.82
At a hospital outpatient department
$1.78

The same drug, in the same amount, costs 2% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.82$1.78 to $2.14
FacilityA hospital or hospital-owned outpatient department$1.78$1.78 to $3.31

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $2 to $2
$0.1$1$10$100facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.86
Avera
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.74
Typical High
$1.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$5.37
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.95
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.34
Typical High
$13.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.87
Typical High
$2.19
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$6.92
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.95

Where South Dakota sits

The same service costs 3.6 times more in Oklahoma than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 39th of 51

$1.82

OK $6.46AL $1.78

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.