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Kansas rates for HCPCS J7676

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $117.49 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00