go back

North Dakota 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
$16.22 / $16.22 / $26.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $17.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.68 / $17.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $17.64 / $17.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $15.23 / $18.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $24.33 / $141.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $14.46 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $18.17