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Michigan 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
$12.88 / $25.12 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $15.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $35.48 / $95.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.18 / $25.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $48.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $5.89 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.59 / $14.79