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Indiana rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $56.03 / $97.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.23 / $2.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $4.42 / $6.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.21 / $3.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.54
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 / $7.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.76