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Vermont 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
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.09 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.19 / $10.96