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Rhode Island rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.51 / $128.51 / $128.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $41.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $39.61 / $73.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $39.54 / $39.54