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Tennessee 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
$1.97 / $2.99 / $4.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.73 / $2.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.13 / $8.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $3.22