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Oklahoma rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $22.21 / $71.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.38 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.97 / $3.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $2.21 / $2.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.96 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.62 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21