go back

Utah 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
$46.49 / $46.49 / $46.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.49 / $46.49 / $46.49
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.41 / $16.22 / $16.22