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Massachusetts rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $2.37 / $98.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.47 / $3.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $6.35 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $7.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.02 / $6.45
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $5.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $7.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $7.77