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Minnesota 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 / $2.37 / $27.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.74 / $10.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.46 / $2.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $7.41 / $9.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.04 / $2.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $6.76 / $8.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $3.45 / $13.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.68