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South Dakota 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
$12.02 / $12.02 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.88 / $15.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $24.55 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $32.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $38.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $109.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $17.78