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Idaho rates for HCPCS J7640

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

Facilitymedian $3 · 10th–90th $2–$30%20%40%10th90th$3Professionalmedian $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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.00 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.95 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.34 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.51 / $1.51