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Tennessee 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
$436.52 / $436.52 / $436.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $100.00