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Georgia rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.61 / $179.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.61 / $47.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $42.90 / $42.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $39.54 / $39.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $77.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $80.23 / $80.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $73.50