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North Carolina rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $40.74 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.51 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.34 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.63 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.04 / $3.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00