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Illinois rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $30.90 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $30.90 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $11.22 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $36.31 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $18.62 / $24.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $32.36 / $165.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $16.22 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.77 / $16.22