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Nebraska rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $4.88 / $139.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $9.13 / $13.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.38 / $2.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.50 / $2.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.50 / $3.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $10.38 / $84.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.62 / $3.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.96 / $3.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.96 / $4.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.21 / $2.43