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West Virginia 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 / $98.44 / $98.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $70.43 / $83.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.78 / $69.73 / $104.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $48.81 / $62.76
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 / $161.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.08 / $519.08 / $519.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $139.76