go back

Indiana rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $11.07 / $241.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.39 / $2.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $4.74 / $7.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $3.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.73
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 / $6.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.74