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West Virginia rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $167.40 / $167.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $13.43 / $19.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $22.11 / $24.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $19.66 / $22.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $31.26 / $49.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $23.75 / $104.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.16 / $275.16 / $275.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.83 / $26.21