go back

Nebraska rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $3.18 / $5.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.46 / $9.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.69 / $2.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.66 / $2.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $4.08 / $4.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.02 / $2.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $5.96 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.46 / $3.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.85 / $4.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.00 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.37 / $2.61