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Texas rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $30.20 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $54.95 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $15.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $35.48 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.48 / $27.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $16.22 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.45 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.49 / $13.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.22 / $46.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.75 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $9.77 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $13.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $16.22