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Arizona rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,097.20 / $38,400.00 / $57,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.16 / $4,355.14 / $16,320.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,226.17 / $16,320.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $19,200.00 / $19,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,200.00 / $19,200.00 / $19,200.00