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Vermont rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $125.89 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.62 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.13 / $43.65