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Oklahoma rates for HCPCS J7640

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

Facilitymedian $0 · 10th–90th $0–$20%20%10th90th$0Professionalmedian $2 · 10th–90th $2–$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 / $2.40 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.30 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.51 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.51 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.51 / $1.51