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Arizona rates for HCPCS J7633

Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, per 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $15.62 / $23.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.40 / $7.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $8.77 / $14.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.35 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $4.82 / $4.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $6.64 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02