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Wisconsin rates for HCPCS J7626

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

Facilitymedian $2 · 10th–90th $1–$870%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$40%50%10th90th$1$0.1$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
$1.07 / $2.09 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.05 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.95 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.70 / $1.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $2.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.69 / $3.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.95 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.29 / $2.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $54.95 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.48 / $1.70
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.70 / $4.68
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $1.20 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.05 / $1.58