go back

West Virginia 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
$6.64 / $7.30 / $17.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $6.64 / $7.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.82 / $4.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.54