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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.17 / $617.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.36 / $4.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.47 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.35 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $8.86 / $11.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $47.32 / $935.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $3.13 / $33.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.47 / $4.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.35 / $4.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.35 / $3.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.35 / $2.47