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Wyoming 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
$82.37 / $82.37 / $82.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $112.50 / $112.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $65.78 / $65.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $95.63 / $98.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $69.73 / $69.73