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Vermont rates for HCPCS J1570

Ganciclovir Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $68.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.77 / $44.77 / $44.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.32 / $37.29 / $60.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.32 / $37.29 / $60.54
MVP Health Care
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 / $60.82