go back

Wisconsin rates for HCPCS J2545

Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg

Facilitymedian $95 · 10th–90th $79$3020%20%40%10th90th$95Professionalmedian $89 · 10th–90th $74$1480%50%10th90th$89$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $104.71 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $93.33 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $208.93 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $83.18 / $102.33
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $100.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $138.04 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $89.13 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $83.18 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $104.71
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $83.18 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $95.50 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $74.13 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $125.89