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Mississippi rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.52 / $47.45 / $47.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $41.52 / $53.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.25 / $81.25 / $89.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $83.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.96 / $39.54 / $51.40