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Vermont rates for HCPCS J3260

Injection Tobramycin Sulfate Up To 80 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.24 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.24 / $3.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.37 / $7.77