go back

Minnesota rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $39.54 / $42.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $43.11 / $102.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.65 / $118.13 / $143.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.03 / $41.53 / $43.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.21 / $107.80 / $135.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $32.70 / $44.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $46.24 / $77.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $39.61 / $71.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $71.68