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New Jersey rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $31.70 / $93.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $12.78 / $19.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $36.09 / $75.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $13.36 / $23.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $9.66 / $13.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $6,950.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $11.47 / $11.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.83 / $18.55