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Texas 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
$0.28 / $0.36 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.06 / $0.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.36 / $4.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $4.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.41