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Hawaii rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $15.32 / $19.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $19.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $19.66 / $19.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $35.18 / $41.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $19.66 / $24.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $19.66 / $31.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $29.77 / $41.22