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Oklahoma 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
$44.20 / $44.20 / $87.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $72.43
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 / $54.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.20 / $46.41 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $14.46 / $14.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $16.22 / $16.87