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South Dakota 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 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.64 / $7.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $11.88 / $19.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03