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South Carolina rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.52 / $41.52 / $168.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $41.52 / $47.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $95.65 / $161.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $52.80 / $73.44
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 / $39.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.52 / $46.97 / $92.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54