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Maryland rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $13.18 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.22 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.76 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.77 / $14.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $16.22 / $24.55