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Louisiana 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 / $10.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $7.81 / $7.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $7.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.82 / $4.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04