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New Jersey 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 / $6.00 / $239.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $3.18 / $4.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $9.14