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Illinois rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $27.10 / $113.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.62 / $4.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $10.50 / $49.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.59 / $3.59
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.09 / $19.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.98