go back

Connecticut rates for HCPCS J3260

Injection Tobramycin Sulfate Up To 80 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $6.40 / $16.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.97 / $7.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.57 / $2.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $6.39 / $142.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.37 / $8.41