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Missouri rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $23.48 / $49.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $14.25 / $19.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $17.20 / $75.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $14.00 / $44.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.69 / $34.36 / $91.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $16.51 / $24.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $26.32 / $106.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $12.13 / $19.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $12.13 / $21.23