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Wyoming rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $24.00 / $375.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.65 / $3.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21