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Michigan rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $18.20 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.62 / $23.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.49 / $33.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $21.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.59 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.76 / $13.18