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Indiana rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $25.55 / $180.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $13.43 / $15.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $15.61 / $49.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $12.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $19.77 / $22.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $18.84 / $23.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $16.38 / $42.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $19.00 / $41.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.86 / $16.38