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New Hampshire rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $58.88 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.90 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $60.26 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.48 / $23.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $28.18 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.77 / $47.86