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Texas 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 / $8.00 / $21.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.40 / $7.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $6.64 / $6.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $6.64 / $7.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $5.14 / $6.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $6.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03