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Nebraska rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $112.11 / $188.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.81 / $105.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $24.89 / $26.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.75 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $32.70 / $106.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $9.83 / $42.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $33.36 / $51.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $36.00 / $47.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.83 / $32.76