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Idaho rates for HCPCS J7682

Tobramycin Unit Dose Form 300 Mg Inhalation Solution Administered Through Dme (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $17.68 / $20.27
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 / $54.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $17.03 / $22.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $20.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $14.80 / $16.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.28 / $19.28 / $19.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $20.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $22.71