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Iowa rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $9.64 / $99.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.19 / $12.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.95 / $3.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.21 / $9.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.19 / $4.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.62 / $3.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.12 / $3.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.85 / $3.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62