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Illinois rates for HCPCS J7640

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

Facilitymedian $5 · 10th–90th $2–$60%20%10th90th$5Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$2.34 / $4.90 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.24 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $42.66
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.76 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.51 / $1.58