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Montana 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
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.98 / $16.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.50 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.98 / $93.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.98 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59