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Maine rates for HCPCS J7626

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $14.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.41 / $1.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $14.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.41 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.35 / $2.36