go back

Arizona rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $4.74 / $7.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.98 / $9.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $6.76 / $11.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.38 / $15.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.98 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37