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Michigan rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $3.16 / $143.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.44 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $5.27 / $9.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.82 / $0.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $3.56 / $125.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.44 / $2.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.72 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.50