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New Mexico rates for HCPCS J7640

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

Facilitymedian $3 · 10th–90th $1–$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$20%50%10th$2$1.0$2.0$5.0$10.0$20.0$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
$5.62 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.47
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
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.51 / $2.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51