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Arkansas rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.56 / $47.45 / $66.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $47.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.99 / $42.99 / $42.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $42.99 / $42.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $39.54 / $47.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70