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North Carolina rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $33.29 / $111.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.75 / $6.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $3.57 / $3.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $2.62
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 / $3.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.63 / $4.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00