go back

Pennsylvania rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $44.54 / $68.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $14.65 / $29.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $107.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $12.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $21.82 / $54.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $19.00 / $28.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $10.61 / $22.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $52.88 / $87.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.92 / $44.54 / $71.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.79 / $14.76 / $67.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $24.90 / $54.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $19.00 / $28.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $16.38 / $23.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $10.48 / $28.50