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Pennsylvania 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
$73.95 / $192.75 / $336.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $70.43 / $154.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.30 / $75.65 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $72.36 / $149.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $69.73 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $98.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $104.92 / $146.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.49 / $530.14 / $584.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.19 / $202.15 / $378.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $86.49 / $250.41
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $69.73 / $95.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $101.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.77 / $99.77 / $115.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.77 / $99.77 / $115.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $127.61