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Montana rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $19.14 / $105.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $68,099.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $31.94 / $48.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $23.75 / $23.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $27.85 / $48.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $16.38 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $16.38