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Washington rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $8.83 / $97.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.45 / $4.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.91 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.68 / $3.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $4.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.87 / $5.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $3.03 / $3.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.68 / $3.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21