go back

Arizona rates for HCPCS J7640

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

Facilitymedian $5 · 10th–90th $3–$100%20%10th90th$5Professionalmedian $2 · 10th–90th $2–$30%50%90th$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
$3.16 / $5.13 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.51 / $1.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51