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Indiana rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.12 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $16.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $16.22 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.60 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.77 / $17.78