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Texas rates for HCPCS 80170

Gentamicin

Facilitymedian $32 · 10th–90th $13–$980%5%10th90th$32Professionalmedian $12 · 10th–90th $9–$200%10%10th90th$12$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $30.90 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $52.48 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $16.22
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $25.12 / $100.00
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $36.31 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $28.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.22 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.49 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $13.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $47.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $16.22 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.55 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $16.22