go back

New Mexico 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 / $128.41 / $128.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $88.55 / $313.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.77 / $99.77 / $149.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.42 / $73.20 / $83.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73