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Illinois 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 / $122.03 / $458.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $91.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $244.07 / $1,241.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $168.96 / $354.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $90.65 / $90.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $129.57