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Ohio rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $8.52 / $56.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.45 / $6.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $5.17 / $14.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.72
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.62 / $3.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.62 / $2.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $4.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $6.37 / $27.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $4.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.09 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.88