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Michigan rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $24.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $15.56 / $19.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $18.54 / $32.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $12.29 / $16.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $19.00 / $23.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $15.56 / $28.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $15.56 / $19.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.56 / $18.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.95 / $10.48