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Washington, DC rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,220.55 / $5,220.55 / $5,220.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,220.55 / $5,220.55 / $5,220.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,180.38 / $3,180.38 / $10,068.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,472.00 / $19,200.00 / $19,200.00