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Louisiana rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $19.23 / $190.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.23 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.28 / $4.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.18 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $4.62