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Tennessee rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $53.70 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $38.90 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.59 / $24.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $11.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.22 / $18.20