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Pennsylvania rates for HCPCS J7622

Beclomethasone, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $8,459.92 / $79,506.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.08