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Maine 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
$263.03 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $93.33 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $281.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $95.50 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $134.90