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Alaska rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $13.49 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $6.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.72 / $5.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.09 / $213.80