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Vermont rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.31