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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
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $11.48 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.94 / $8.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $4.37 / $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
$50.12 / $54.95 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.96 / $15.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $85.11 / $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
$8.51 / $10.00 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.15 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.38