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Idaho rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $45.71 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.60 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $33.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.14 / $23.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.98 / $19.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $33.11 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $33.11