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Massachusetts rates for HCPCS J7685

Tobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.27 / $63.27 / $63.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.26 / $63.27 / $72.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $222.65 / $328.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $16.22 / $87.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.17 / $114.74 / $254.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $68.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.02 / $328.37 / $328.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $105.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $105.83