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Nebraska 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 / $15.01 / $17.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $10.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
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 / $0.47 / $4.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $6.64 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $4.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $5.01 / $6.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.66 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.54