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New York rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $48.34 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $47.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $39.54 / $124.07
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.37 / $47.37 / $49.74
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.37 / $47.37 / $47.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $48.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $55.95 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $42.90 / $90.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $41.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $41.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $39.54 / $78.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $82.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.04 / $41.04 / $41.04
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $41.04 / $87.39