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Virginia rates for HCPCS J7626

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

Facilitymedian $4 · 10th–90th $1–$690%10%10th90th$4Professionalmedian $1 · 10th–90th $1–$40%50%90th$1$0.5$2.0$10.0$50.0

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
$1.00 / $5.89 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.45
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.00 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.14 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $4.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.10 / $12.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.10 / $5.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.10 / $1.20
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.45 / $4.90
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.45 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $1.20 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.05 / $1.32