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Illinois rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,157.17 / $6,663.30 / $33,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.26 / $4,376.16 / $16,320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,344.00 / $57,024.00 / $225,408.00
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 / $17,600.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $5,225.00 / $26,126.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,327.18 / $17,327.18 / $17,327.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,896.00 / $19,200.00 / $20,371.20