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Iowa rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.80 / $75.50 / $87.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $39.54 / $75.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $38.50 / $40.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $62.95 / $221.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $49.74 / $75.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $39.61 / $88.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $43.11 / $66.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $60.59 / $99.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $40.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $39.61 / $39.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $39.61 / $39.61