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West Virginia 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
$45.18 / $45.18 / $45.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $49.44 / $73.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.91 / $51.54 / $90.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.54 / $51.54 / $51.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $49.22 / $66.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $279.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $16.22 / $124.50