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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
$39.54 / $58.24 / $84.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $47.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $360.55 / $360.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $69.70