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Kentucky 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
$2.37 / $3.19 / $20.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.80 / $2.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $2.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.61 / $3.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.49 / $3.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.69 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.37 / $2.37