| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $441.00 | $441.00 | $441.00 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Wellpoint
| Professional | $0.14 | $0.14 | $0.19 |
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 | $441.00 | $441.00 | $441.00 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
Wellpoint
| Professional | $0.14 | $0.14 | $0.19 |