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Ohio 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 / $14.45 / $23.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $8.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $18.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $6.49 / $8.06
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $12.09 / $19.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03