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California rates for HCPCS J7638

Dexamethasone Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.22 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $202.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.16 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.38 / $0.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.28