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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
$91.20 / $91.20 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $91.20 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $181.97 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $95.50 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $93.33 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $83.18 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.79 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $89.13 / $89.13