| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.14 | $0.14 | $0.14 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.14 | $0.14 | $0.14 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |