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New York rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $8.03 / $34.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.29 / $11.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.21 / $2.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.48
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.08 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $3.12 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $3.28 / $4.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.08 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.21 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $2.21 / $2.29