go back

Kansas rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.75 / $4,175.75 / $5,460.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.16 / $4,175.75 / $15,936.00
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
$16,320.00 / $16,960.00 / $21,200.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,563.42 / $16,320.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,128.00 / $19,200.00 / $19,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00