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Montana rates for HCPCS J7627

Budesonide, inhalation solution, compounded product, administered through DME, unit dose form, up to 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $7.41 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $7.41 / $7.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.13 / $8.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.13 / $8.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $7.41 / $7.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.59 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30