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Massachusetts rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $42.58 / $69.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $15.61 / $28.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.94 / $28.50 / $106.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $16.38 / $39.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $45.87 / $80.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $15.40 / $20.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $24.34 / $55.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $18.12 / $27.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $28.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $22.70 / $60.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $106.43 / $106.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $10.99 / $34.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $12.60 / $31.22