go back

Idaho rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $29.57 / $42.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $31.94 / $31.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $17.36 / $63.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $19.00 / $23.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $28.63 / $33.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $19.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.57 / $36.86 / $60.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $27.94 / $28.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.75 / $26.96