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Minnesota rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.88 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $42.66 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $125.89 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $43.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $117.49 / $138.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $61.66