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Texas 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
$2.36 / $3.42 / $12.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.76 / $3.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $43.05 / $82.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $6.10 / $6.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.29 / $28.29 / $28.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $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
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.86 / $4.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.78 / $7.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $5.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.78 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.73 / $2.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.97 / $3.69