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Nebraska 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
$55.38 / $96.92 / $120.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.38 / $55.38 / $92.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $53.21 / $53.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $68.44 / $95.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.46 / $94.15 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $14.46 / $76.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.48 / $72.91 / $132.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $97.45 / $149.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $25.95