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Arizona rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $7.79 / $83.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $4.13 / $13.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $8.03 / $13.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.54 / $14.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $4.12 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21