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Delaware 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
$6.09 / $56.79 / $9,618.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $5.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.09 / $24.09 / $24.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.56 / $8.96