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New Hampshire rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Facilitymedian $7 · 10th–90th $2–$260%10%10th90th$7Professionalmedian $2 · 10th–90th $2–$40%50%10th90th$2$2.0$5.0$10.0$20.0$50.0$100.0

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
$2.14 / $6.92 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.80 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.39 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.19 / $3.89