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Michigan rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,035.09 / $4,191.79 / $12,589.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.65 / $4,157.17 / $16,320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $18.55 / $36.09
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 / $21,003.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,191.79 / $12,589.50 / $19,200.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,035.09 / $18,556.80 / $20,160.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,585.91