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West Virginia 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
$14.60 / $55.51 / $55.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.38 / $17.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.98 / $16.22 / $24.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.35 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.22 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $90.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $105.83