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Washington 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
$3.00 / $4.96 / $26.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.81 / $19.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.73 / $7.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.83 / $7.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.96 / $6.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.85 / $6.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.73 / $2.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73