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Tennessee 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 / $125.20 / $170.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $99.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $93.25 / $112.50
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.27 / $350.53 / $350.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $82.37