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Maine 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
$28.84 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.18 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $38.02