go back

Arizona rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $48.98 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.18 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $29.51 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.80 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.85 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.95 / $24.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $14.79 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.22 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $13.49