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Indiana rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $24.20 / $59.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $13.23 / $15.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $15.19 / $48.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.96 / $15.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.13 / $19.38 / $21.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $18.55 / $22.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.79 / $16.13 / $41.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $18.59 / $43.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.86 / $16.13