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Minnesota 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
$441.00 / $441.00 / $441.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.00 / $441.00 / $441.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.53 / $186.80 / $326.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.62 / $124.53 / $124.53