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Maryland rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $9.59 / $54.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.21 / $3.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $8.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47