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Virginia rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.88 / $41.52 / $89.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $41.52 / $41.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $49.83 / $75.20
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $47.45 / $82.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $75.50 / $86.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $76.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $47.84 / $82.08
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $47.84 / $82.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $39.54 / $49.62