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Maryland 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
$65.94 / $65.94 / $73.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.86 / $63.27 / $84.40
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 / $49.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.17 / $69.02 / $93.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $17.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $57.31 / $57.31