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Texas 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
$0.02 / $0.02 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05