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Tennessee rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $21.07 / $98.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.22 / $4.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $8.17