| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.00 | $441.00 | $441.00 | |
Aetna
| Professional | $441.00 | $441.00 | $441.00 | |
BCBS
| Facility | $124.53 | $186.80 | $326.56 | |
BCBS
| Professional | $99.62 | $124.53 | $124.53 |
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 | $441.00 | $441.00 | $441.00 | |
Aetna
| Professional | $441.00 | $441.00 | $441.00 | |
BCBS
| Facility | $124.53 | $186.80 | $326.56 | |
BCBS
| Professional | $99.62 | $124.53 | $124.53 |