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Michigan rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.72 / $40.81 / $127.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.72 / $47.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.87 / $88.04 / $166.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $25.49 / $25.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $71.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $71.42 / $113.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.72 / $47.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $45.47 / $45.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $40.33