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West Virginia rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $26.14 / $81.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.39 / $2.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.46 / $3.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.37 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $4.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $394.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $9.14