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New York rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,355.13 / $3,505.10 / $19,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,355.13 / $13,248.00 / $16,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $16,960.00 / $38,244.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $17,992.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $19,200.00 / $30,720.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,560.00 / $16,960.00 / $28,800.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,920.00 / $17,920.00 / $17,920.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $16,960.00 / $17,992.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,150.00 / $16,320.00 / $16,960.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $21,120.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,920.00 / $17,920.00 / $17,920.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,920.00 / $17,920.00 / $17,920.00