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Connecticut rates for HCPCS J7640

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

Facilitymedian $5 · 10th–90th $2–$80%10%20%10th90th$5Professionalmedian $2 · 10th–90th $2–$20%50%10th90th$2$0.0$0.1$0.5$2.0$10.0

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
$2.95 / $4.90 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.45 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.95 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.41 / $1.58