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Missouri rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,093.87 / $4,269.84 / $4,269.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,093.87 / $4,269.84 / $5,460.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $14,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,400.00 / $14,400.00 / $18,240.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.75 / $17,280.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $20,736.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $22,080.00