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Vermont rates for HCPCS J7685

Tobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $50.06 / $108.85
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 / $49.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.41 / $16.22 / $105.83