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South Carolina rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $58.88 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.04 / $5.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.19 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $5.89 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.04 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.82 / $7.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.45