| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
BCBS
| Facility | $112.20 | $117.49 | $117.49 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
BCBS
| Facility | $112.20 | $117.49 | $117.49 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |