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Virginia 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
$2.86 / $4.12 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.86 / $2.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $4.88 / $7.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.73 / $16.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.86 / $3.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.86 / $9.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.49 / $7.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.49 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $2.90