go back

Maryland 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
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $61.49 / $61.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14