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New Jersey rates for HCPCS J7626

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

Facilitymedian $3 · 10th–90th $1–$380%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$1.35 / $2.82 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.58
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.20 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.58 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $4.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $8.91 / $9.33
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $2.04 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $1.32