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Amantadine Hydrochloride, Oral

Utah rates for HCPCS G9017

Amantadine hcl 100mg oral

Rates data updated July 2026.

Professionalmedian $1 · 10th–90th $1$600%10%20%10th90th$1$2.0$5.0$10.0$20.0$50.0

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

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26