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Utah rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Facilitymedian $47 · 10th–90th $16–$1200%10%10th90th$47Professionalmedian $2 · 10th–90th $2–$190%50%90th$2$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $50.12 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.31 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.95 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19