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Texas rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $30.92 / $105.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $12.45 / $28.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $52.45 / $98.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $8.68 / $14.58
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $25.39 / $98.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.38 / $18.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $36.00 / $83.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $11.91 / $27.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $106.43 / $106.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $16.38 / $21.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $16.38 / $20.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $16.38 / $40.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $12.61 / $23.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.36 / $13.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $8.09 / $16.38