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Massachusetts 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
$6.64 / $6.64 / $13.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $6.64 / $6.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $13.55 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $4.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $4.82 / $4.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.54