| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.22 | $16.22 | $33.71 | |
Cigna
| Professional | $16.22 | $16.22 | $54.65 | |
United
| Professional | $6.49 | $16.22 | $122.01 |
Tobramycin Unit Dose Form 300 Mg Inhalation Solution Administered Through Dme (Special Coverage Instructions Apply. See Mcm: 2100.5)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.22 | $16.22 | $33.71 | |
Cigna
| Professional | $16.22 | $16.22 | $54.65 | |
United
| Professional | $6.49 | $16.22 | $122.01 |