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South Carolina 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
$12.88 / $22.91 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.32 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $15.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.80 / $66.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.18 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $1.48 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.59 / $14.79