| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $436.52 | $436.52 | |
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $436.52 | $436.52 | |
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |