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Montana rates for HCPCS 80170

Gentamicin

Facilitymedian $29 · 10th–90th $20$1660%20%10th90th$29Professionalmedian $15 · 10th–90th $11$630%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $19.05 / $23.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $50.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.33 / $22.91