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Indiana rates for HCPCS J7310

Ganciclovir Long Act Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $3,917.56 / $17,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.65 / $3,917.56 / $16,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $16,960.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,416.00 / $16,960.00 / $22,896.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,163.06 / $4,163.06 / $4,163.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,163.06 / $4,163.06 / $4,163.06
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 / $21,200.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00