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Pennsylvania rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $92.71 / $120.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $39.94 / $50.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $42.90 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $41.04 / $41.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $39.54 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $92.71 / $120.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.02 / $120.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $39.54 / $39.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.41 / $41.41 / $48.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $41.41 / $48.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $68.15