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Missouri rates for HCPCS J7634

Budesonide, inhalation solution, compounded product, administered through DME, concentrated form, per 0.25 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.64 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.68 / $0.85