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Maine rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,544.00 / $44,544.00 / $48,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,772.49 / $4,772.49 / $4,772.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $19,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,544.00 / $44,544.00 / $48,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,772.49 / $6,204.24 / $48,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $27,840.00