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West Virginia rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $13.18 / $58.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.22 / $2.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.62 / $3.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.12 / $5.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.21 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $8.38 / $60.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $9.61