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Arizona rates for HCPCS J7682

Tobramycin, inhalation solution, FDA-approved final product, noncompounded, unit dose form, administered through DME, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.36 / $32.44 / $48.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $17.84 / $85.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $50.63 / $84.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $14.21 / $32.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $49.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $15.90 / $141.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $16.22 / $16.22