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South Carolina rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $96.75 / $519.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.45 / $2.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.96 / $6.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.08 / $3.14
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 / $2.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.74 / $6.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37