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Maine rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $151.36 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.77 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $18.62 / $23.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $19.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $26.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.22 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $16.22 / $33.11