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Maine 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
$37.63 / $37.63 / $40.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $17.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.15 / $50.15 / $50.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $57.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $19.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $37.63 / $40.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $16.86 / $24.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $16.22 / $28.39