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Hawaii rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $15.08 / $19.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $19.36 / $19.36
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $34.56 / $40.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $19.36 / $24.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $19.36 / $31.29
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $29.28 / $40.54