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Virginia 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
$16.22 / $17.03 / $32.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.03 / $17.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.95 / $24.07 / $39.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $16.22 / $112.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $17.03 / $66.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.03 / $120.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $20.76 / $61.08
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.41 / $20.76 / $61.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $20.36