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Mississippi 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
$2.42 / $3.54 / $3.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.95 / $3.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.52 / $1.98