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Nebraska rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.41 / $68.51 / $185.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $14.05 / $103.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $24.52 / $26.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $23.23 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $32.17 / $115.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $40.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $32.85 / $50.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $35.84 / $46.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.68 / $32.26