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Indiana rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $87.38 / $180.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.94 / $39.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.52 / $79.08 / $118.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $39.54 / $56.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $53.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $49.43
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 / $100.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $67.22