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Kentucky rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $67.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.76 / $46.63 / $46.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $39.54 / $39.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $42.90 / $63.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $43.49 / $60.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.64 / $39.54 / $78.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54