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South Carolina rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $54.95 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $91.20 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $47.86 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $47.86 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $37.15