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Pennsylvania rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $5.86 / $97.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.48 / $9.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.57 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.37 / $2.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $8.09 / $35.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $6.49 / $98.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.72 / $8.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.37 / $2.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $3.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $5.01