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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
$161.77 / $161.77 / $174.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $72.52 / $99.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.60 / $215.60 / $215.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $69.73 / $112.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $84.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.77 / $161.77 / $174.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $86.49 / $138.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.27 / $69.73 / $122.03