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Kansas rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.40 / $75.50 / $174.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.33 / $55.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.12 / $57.79 / $72.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $42.83 / $42.83
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.40 / $60.29 / $81.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $39.61 / $63.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $67.22