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Idaho 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
$7.81 / $7.81 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.72 / $7.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.64 / $6.64 / $8.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03