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Minnesota rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $50.92 / $175.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.20 / $12.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.54 / $4.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.62 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $8.84 / $10.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.19 / $3.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $7.81 / $10.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $9.77 / $30.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $4.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $5.07