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South Dakota 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
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.31 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.54 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $4.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $5.83 / $8.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $7.96 / $12.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.33