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Washington, DC rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $58.58 / $114.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $12.29 / $12.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $71.68 / $163.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $27.69 / $59.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $19.00 / $23.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $10.38 / $14.91