go back

Wisconsin rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Facilitymedian $49 · 10th–90th $4$1320%5%10th90th$49Professionalmedian $2 · 10th–90th $2$50%20%10th90th$2$1.0$5.0$20.0$100.0

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
$5.01 / $52.48 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $5.89 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $3.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $2.19 / $2.19
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $4.47 / $4.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $13.49 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $4.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.88 / $7.08
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.63 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $3.16