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Wisconsin rates for HCPCS J7676

Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg

Facilitymedian $95 · 10th–90th $65–$1000%20%40%10th90th$95Professionalmedian $437 · 10th–90th $1–$4370%50%10th$437$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $89.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98