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West Virginia rates for HCPCS J7685

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

Facilitymedian $45 · 10th–90th $45–$510%50%90th$45Professionalmedian $54 · 10th–90th $44–$720%20%40%10th90th$54$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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $14.79 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.59 / $19.95