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Rhode Island 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
$52.72 / $52.72 / $52.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.38 / $16.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $54.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $49.39