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Kansas 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
$89.13 / $89.13 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $93.33 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $100.00 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $83.18 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $89.13 / $138.04