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Oklahoma 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
$75.31 / $88.96 / $151.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $75.31 / $75.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $65.78 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.37 / $93.41 / $350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $82.37 / $82.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $69.73 / $69.73