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Texas rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $14.67 / $87.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.23 / $3.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $3.81 / $8.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $5.90 / $8.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.18 / $10.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $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
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $3.93 / $37.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.21 / $4.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.21 / $3.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.21 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.98