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Iowa rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.26 / $4,601.09 / $14,544.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.26 / $4,042.62 / $15,936.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.13 / $16,960.13 / $21,200.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $26,126.88 / $26,126.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.16 / $16,320.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,908.26 / $19,200.00 / $23,067.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,925.72 / $5,327.35 / $9,159.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,925.72 / $7,218.31 / $22,115.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $23,067.97