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West Virginia rates for HCPCS 80200

Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $20.16 / $24.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $13.07 / $13.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $21.78 / $24.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $19.36 / $21.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $33.39 / $48.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $23.23 / $102.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.64 / $80.64 / $80.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $9.68 / $25.81