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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

Facilitymedian $3 · 10th–90th $2–$30%50%10th$3Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$0.0$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.09 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.19 / $10.96