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Hawaii rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,511.20 / $17,511.20 / $17,511.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,971.20 / $19,200.00 / $28,800.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $14,416.00 / $20,352.00