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Iowa rates for HCPCS J7626

Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 0.5 mg

Facilitymedian $1 · 10th–90th $1–$50%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$50%50%10th90th$1$0.1$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $5.13 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.05 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.35 / $1.35
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $11.48 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $1.29 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.45 / $1.82
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.56 / $1.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $1.74
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.35
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.15 / $1.48