go back

Illinois rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $11.49 / $49.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.39 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $19.76 / $49.97
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $4.01 / $22.63
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.17