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Iowa 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
$69.73 / $98.44 / $179.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $98.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.63 / $95.63 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $95.40 / $101.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $130.02 / $297.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $119.83 / $350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $82.37 / $135.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $98.84 / $141.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $104.29 / $241.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $113.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $82.37 / $82.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $82.37 / $90.14