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Montana rates for HCPCS J7685

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.90 / $66.90 / $72.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.12 / $94.12 / $94.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $94.12 / $94.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $94.12 / $94.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.91 / $94.12 / $112.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22