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North Carolina rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $91.71 / $260.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $47.33 / $92.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $59.88 / $95.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $67.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $86.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.05 / $47.33 / $95.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $46.56 / $46.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $61.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $100.00 / $360.55