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South Carolina rates for HCPCS J7634

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.28 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.52 / $0.60