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Wisconsin rates for HCPCS J7634

Budesonide Comp Con

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.70 / $3.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.15 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.64 / $1.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.09