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North Carolina rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.04 / $16,320.00 / $21,991.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,464.04 / $3,464.04 / $16,320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,871.57 / $49,871.57 / $49,871.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,440.00 / $17,440.00 / $17,440.00
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 / $19,200.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.04 / $5,225.00 / $17,136.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.00 / $4,275.00 / $16,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $26,288.00 / $27,136.00