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Arizona rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.31 / $79.08 / $118.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $43.50 / $52.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.70 / $124.45 / $206.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $38.35 / $251.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.90 / $62.32 / $92.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $39.61 / $39.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54