go back

Michigan rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $17.25 / $56.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.45 / $5.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.90 / $9.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $0.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.21 / $2.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $12.22 / $63.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.35 / $4.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.84 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.34