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Louisiana rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $41.60 / $87.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.94 / $47.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.29 / $40.94 / $52.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $36.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70