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Ohio rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $36.68 / $60.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.10 / $19.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $18.02 / $28.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $17.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $16.38 / $22.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $21.29 / $22.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $16.87 / $53.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $13.14 / $23.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $16.87 / $62.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $10.65 / $21.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $13.51 / $19.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $10.05 / $22.90