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South Carolina rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $59.50 / $97.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.31 / $4.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $3.32 / $26.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.74 / $3.10
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 / $2.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.54 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21