go back

Minnesota 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
$64.90 / $64.90 / $64.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $62.24 / $64.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.87 / $100.55 / $154.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $69.87 / $69.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $174.39 / $212.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $64.23 / $69.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.41 / $154.18 / $199.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $54.75 / $58.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.57 / $93.29 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $28.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $32.00