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Utah rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.87 / $45.87 / $45.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.87 / $45.87 / $45.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $43.66 / $65.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $39.54 / $39.54