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New Jersey rates for HCPCS J7640

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

Facilitymedian $4 · 10th–90th $3–$60%50%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
$3.24 / $3.80 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.74 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,309.57 / $6,309.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.62 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.51 / $1.66