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Washington 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
$17.38 / $25.12 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.22 / $24.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $53.70 / $199.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.88 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $14.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.59 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $16.22