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Kentucky rates for HCPCS J7640

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

Facilitymedian $2 · 10th–90th $2–$20%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%50%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$2.00 / $2.34 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.58 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.41 / $1.41
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $51,286.14 / $56,234.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48,977.88 / $48,977.88 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $6.03 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.62 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.51 / $1.51