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Washington rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.62 / $7.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.61 / $7.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.37 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.37 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.96 / $7.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.13 / $2.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37