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Wisconsin rates for HCPCS 80170

Gentamicin

Facilitymedian $35 · 10th–90th $14$4900%10%10th90th$35Professionalmedian $15 · 10th–90th $8$650%10%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.05 / $36.31 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $35.48 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $46.77
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $26.92 / $46.77
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $112.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $15.85
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $83.18 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.18 / $37.15