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North Dakota rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $60.90 / $75.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.22 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.41 / $2.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.41 / $2.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.48 / $22.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.62 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.21 / $2.40