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Vermont 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
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $24.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $18.36 / $18.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $27.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $27.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.41 / $16.22 / $105.83