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Wisconsin 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$70%20%10th90th$3Professionalmedian $2 · 10th–90th $2$60%50%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.31 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $5.89 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.55 / $4.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $5.75
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.50 / $5.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $5.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $50.12 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $11.48
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.00 / $2.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.82 / $18.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $1.70 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.19 / $3.16