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Idaho rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,727.13 / $3,727.13 / $3,727.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.82 / $4,779.55 / $5,795.56
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
$6,672.40 / $16,960.00 / $16,960.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,779.55 / $16,320.00 / $16,960.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,286.20 / $5,485.50 / $16,320.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,336.27 / $8,448.36 / $10,138.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00