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Iowa 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
$2.36 / $2.95 / $8.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.45 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $29.73 / $34.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $4.22 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.52 / $2.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.90 / $2.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.22 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.52 / $1.70