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Idaho 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
$82.37 / $82.37 / $165.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $82.37 / $99.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $69.73 / $69.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $73.20 / $92.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $87.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $58.58 / $79.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.88 / $82.88 / $82.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $80.19 / $87.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $69.73 / $94.41