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Maryland rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,674.41 / $4,674.41 / $5,220.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.10 / $5,220.55 / $16,320.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,982.45 / $4,892.89 / $6,637.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,681.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,032.00 / $16,032.00 / $16,320.00