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Missouri 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
$6.25 / $6.25 / $14.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $7.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $5.50 / $5.50
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $6.64 / $100.00
Medica
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