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Ohio rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $7.30 / $81.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.46 / $8.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $5.55 / $15.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.50
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.46 / $3.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.46 / $3.20
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 / $3.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $9.36 / $33.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.70 / $3.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.10