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Montana 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
$38.00 / $38.00 / $38.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.55 / $8.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.37 / $1.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.37 / $6.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.46 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35