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Utah 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
$1.57 / $1.57 / $37.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.57 / $4.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.86 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.19 / $1.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35