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Wisconsin 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 / $0.28 / $0.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $4.72 / $15.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $13.40 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.78 / $8.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $5.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $4.63 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $5.20
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $11.04 / $15.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $10.10 / $15.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38