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North Dakota 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
$69.73 / $69.73 / $148.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $99.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.65 / $76.03 / $76.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.30 / $75.91 / $77.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.81 / $101.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $93.86 / $350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $82.37 / $92.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $78.09