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New Jersey rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $55.86 / $108.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $57.03 / $62.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $41.11 / $48.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $82.00