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Missouri 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
$69.18 / $112.20 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $93.33 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $151.36 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $93.33
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $97.72 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $83.18 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $107.15 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $89.13 / $112.20