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Washington 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
$0.31 / $0.31 / $0.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.75 / $3.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.25 / $9.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30