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Missouri rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $5.60 / $89.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.42 / $2.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $4.03 / $6.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $4.63 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.46 / $2.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $2.90