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Indiana rates for HCPCS J7676

Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.00 / $441.00 / $441.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.88 / $119.88 / $119.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18