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Maryland rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $161.38 / $311.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $8.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97