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Pennsylvania rates for HCPCS J7627

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

Facilitymedian $2 · 10th–90th $0–$120%10%10th90th$2Professionalmedian $0 · 10th–90th $0–$70%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.91 / $1.91 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $37.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.59 / $1.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $0.17
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.12 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.30 / $0.36