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South Carolina 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
$57.54 / $213.80 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $58.88 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $47.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $1.48 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.59 / $14.79