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Pennsylvania 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
$49.44 / $83.55 / $137.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $55.20 / $62.79
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 / $68.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.44 / $83.55 / $141.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $49.44 / $130.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $68.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $34.35