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Wyoming 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
$1.97 / $1.97 / $1.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.60 / $7.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.86 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $2.73