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Delaware rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $19.14 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $10.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $19.00 / $30.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.83 / $22.90