go back

Idaho rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $66.92 / $154.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.43 / $3.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.21 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.76 / $3.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21