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Virginia rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $35.42 / $88.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.31 / $3.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.22 / $4.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.65 / $9.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $3.19 / $3.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.67 / $3.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.67 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.21 / $2.77