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North Carolina rates for HCPCS J2545

Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg

Facilitymedian $110 · 10th–90th $87–$3470%20%10th90th$110Professionalmedian $91 · 10th–90th $87–$2000%50%10th90th$91$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $120.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $93.33 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $102.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $95.50 / $107.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $79.43 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $39.81 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $89.13 / $104.71
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84