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Alaska rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,710.40 / $30,794.30 / $30,794.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,798.37 / $8,798.37 / $15,936.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,219.43 / $4,219.43 / $6,027.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,880.00 / $28,800.00 / $57,600.00