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Minnesota rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,601.09 / $4,601.09 / $4,601.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.82 / $4,601.09 / $15,936.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,620.80 / $24,931.20 / $39,376.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,568.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,391.88 / $54,020.71 / $65,766.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,129.73 / $19,899.88 / $21,539.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,077.40 / $47,759.71 / $61,870.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.13 / $16,960.13 / $18,090.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,086.48 / $16,960.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,360.00 / $19,200.00 / $26,499.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,200.00 / $19,200.00 / $26,499.84