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New Mexico rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $52.48 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $112.20 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.00 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $19.05 / $30.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $19.50 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $25.12 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $10.00