search again

Nationwide rates for HCPCS J7640

Formoterol, inhalation solution, compounded product, administered through DME, unit dose form, 12 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.98 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.82 / $2.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.41 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.74 / $1.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.62 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.51 / $1.62