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Vermont rates for HCPCS J1580

Garamycin Gentamicin Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.45 / $4.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.79 / $4.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.79 / $4.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.21 / $8.17