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Connecticut rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.12 / $61.88 / $110.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $41.12 / $41.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.43 / $68.29 / $144.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $42.90 / $49.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $39.54 / $75.44