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North Dakota 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
$51.68 / $51.68 / $104.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $64.90 / $64.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $55.30 / $68.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.94 / $64.90 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $14.46 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $18.17