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Utah 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
$18.80 / $18.80 / $98.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $85.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $21.14 / $35.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $16.22 / $18.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $14.46 / $21.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $19.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $16.22 / $16.22