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Pennsylvania 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
$14.60 / $33.84 / $67.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $16.22 / $37.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $17.59 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $49.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $80.52 / $107.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.60 / $33.84 / $43.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $16.38 / $43.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $49.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $16.22 / $54.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.18 / $29.18 / $33.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $29.18 / $33.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $30.04