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New Hampshire 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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.52 / $0.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.52 / $0.52