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New Jersey rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $31.62 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $36.31 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.85 / $23.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.13 / $18.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $10,715.19 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.79 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $16.22 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.77 / $23.99