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Hawaii rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.46 / $8.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.85 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.37 / $3.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.72 / $4.43