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Washington, DC rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $111.73 / $150.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $49.83 / $84.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $39.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $33.61 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $39.54 / $64.09