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Nationwide rates for HCPCS J7640

Formoterol Inhalation Solution Compounded Product Administered Through Dme Unit Dose Form 12 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.65 / $5.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.45 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.59 / $2.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.42 / $1.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.52 / $1.52