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West Virginia rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $40.02 / $75.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $40.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $59.31 / $59.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $39.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $78.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $39.54 / $82.00