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Nebraska rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.16 / $36,904.30 / $42,439.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.16 / $3,926.16 / $6,588.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.36 / $19,200.41 / $19,200.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,048.38 / $18,624.41 / $19,200.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,925.72 / $16,960.13 / $21,200.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.16 / $16,960.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,925.72 / $5,169.10 / $10,616.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,925.72 / $7,218.31 / $22,115.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00