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Oklahoma rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $42.79 / $72.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $42.71 / $42.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.58 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $37.29 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $57.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $48.41 / $106.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $39.61 / $39.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54