go back

North Dakota rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $27.25 / $27.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.58 / $2.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.58 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.63 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.65 / $6.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.46 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $2.57