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South Carolina 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
$17.03 / $17.03 / $61.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $25.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.94 / $63.94 / $63.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.20 / $95.55
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $18.73 / $64.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $29.00 / $44.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $13.30 / $20.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $16.22