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Tennessee rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $50.12 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $67.61