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Illinois rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $33.88 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $43.65 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $11.22 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $36.31 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $19.05 / $24.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.36 / $138.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.22 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.59 / $16.22