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North Dakota rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $71.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $47.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.90 / $43.11 / $43.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $43.05 / $43.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $33.03 / $40.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $39.61 / $75.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $39.61 / $43.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $39.54 / $42.94