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Montana rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $103.72 / $103.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.61 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $21.61 / $21.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $31.45 / $47.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $23.23 / $23.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $27.42 / $47.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $23.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $16.13