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Arizona rates for HCPCS J2545

Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.67 / $154.09 / $294.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $90.61 / $313.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $252.49 / $434.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $71.13 / $152.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $69.73 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $86.49 / $350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $82.37 / $82.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73