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Texas rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $14.75 / $133.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.40 / $3.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $1.24 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.25
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.67 / $99.68
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $3.39 / $14.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.37 / $4.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.37 / $3.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.37 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $3.20