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Wyoming rates for HCPCS 80170

Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $33.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $25.00 / $52.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $19.00 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.46 / $22.90