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Louisiana rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,025.62 / $4,226.89 / $5,635.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.82 / $4,065.87 / $15,936.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,280.00 / $17,280.00 / $25,920.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,280.00 / $17,280.00 / $17,280.00
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 / $16,960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $25,839.17