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Louisiana rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.48 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $44.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.90 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $44.67