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Nebraska 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
$82.37 / $119.44 / $179.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $313.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.09 / $78.94 / $78.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $78.93 / $93.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.63 / $95.63 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $95.63 / $102.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.54 / $98.44 / $350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $82.37 / $123.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.50 / $95.40 / $157.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $119.08 / $242.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $76.70