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Utah rates for HCPCS J7633

Budesonide Non-Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $4.82 / $4.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02