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Montana rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Facilitymedian $8 · 10th–90th $3–$1780%10%20%10th90th$8Professionalmedian $3 · 10th–90th $2–$100%20%10th90th$3$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $53.70 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.95 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.88 / $8.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.88 / $8.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $5.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19