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Delaware rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $53.50 / $141.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $10.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $11.04 / $25.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.32 / $9.42