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Texas 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
$70.43 / $168.04 / $828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $70.43 / $88.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.19 / $380.16 / $754.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.80 / $64.80 / $64.80
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.90 / $222.90 / $222.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73
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 / $95.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.27 / $350.53 / $350.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.36 / $73.20 / $99.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $73.20 / $126.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $69.73 / $95.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $73.20 / $100.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $69.73 / $69.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $79.39 / $82.37