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New Hampshire rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $20,081.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,042.62 / $16,320.00 / $16,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
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
$16,960.00 / $16,960.00 / $16,960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,200.00 / $19,200.00 / $19,200.00