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Wisconsin rates for HCPCS J7626

Budesonide Non-Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.56 / $87.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.47 / $8.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.00 / $2.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.95 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.57 / $1.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.35 / $2.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.70 / $3.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.99 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.28 / $2.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.35 / $2.86
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.70 / $3.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.57 / $4.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.16