go back

North Carolina rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $14.45 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $15.14 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $7.41 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $24.55 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.48 / $23.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $31.62 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $14.79 / $17.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.20 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.22 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $6.92 / $15.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15