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Virginia 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
$22.00 / $22.00 / $22.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $14.00 / $14.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.68 / $0.72