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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
$17.50 / $17.50 / $85.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $93.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.89 / $16.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.89 / $93.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $17.60 / $20.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22