go back

New Hampshire rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Facilitymedian $47 · 10th–90th $34–$910%10%10th90th$47Professionalmedian $34 · 10th–90th $33–$630%50%10th90th$34$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $37.15 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $70.79 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $69.18