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Missouri rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $75.50 / $90.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.72 / $86.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $43.10 / $104.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $49.43
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $86.40 / $360.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $39.61 / $45.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $39.54 / $48.36