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Texas rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $57.19 / $102.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.94 / $55.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.47 / $101.60 / $209.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.47 / $41.47 / $41.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $360.55 / $360.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $53.68 / $58.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $39.54 / $71.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $39.54 / $58.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $39.54 / $52.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $28.74 / $53.38