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Idaho rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $39.61 / $45.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $43.50 / $49.43
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $49.43 / $70.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $49.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $47.45 / $49.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $63.26