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Pennsylvania 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$100%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1$40%50%10th90th$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
$1.07 / $2.69 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $4.47
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.12 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $3.80 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $8.91 / $9.33
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $588.84 / $933.25
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.35
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.66 / $3.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $1.00 / $158.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $1.00 / $1.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.56 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $1.86