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Massachusetts rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $79.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $41.12 / $47.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.05 / $103.88 / $131.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $50.45 / $107.55
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 / $39.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.05 / $79.08 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $83.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $360.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70