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Alaska rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.04 / $122.91 / $369.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $54.87 / $54.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $45.26 / $45.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $19.00 / $23.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $65.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.33 / $63.06 / $105.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $36.86 / $255.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $57.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $21.19 / $23.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $32.76 / $49.42