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Maryland 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 $0–$100%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.1$0.5$2.0$10.0

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
$1.05 / $10.23 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.24
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $4.37 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $4.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.10 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.05 / $1.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.10