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Florida 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
$2.45 / $53.81 / $757.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.37 / $2.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.37 / $2.37
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.50 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.46 / $2.46