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Maryland rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $31.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $12.88 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.22 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.30 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $7.59 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.77 / $14.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $15.85 / $23.99