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Massachusetts rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $7.80 / $32.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.29 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $5.92 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $8.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.82 / $6.01
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $4.69
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $12.21 / $28.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $8.17