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Washington rates for HCPCS J7685

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

Facilitymedian $117 · 10th–90th $81–$1170%50%10th$117Professionalmedian $62 · 10th–90th $15–$810%10%20%10th90th$62$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $97.72 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $5.89 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $14.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54