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Ohio rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.65 / $10,879.90 / $48,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.10 / $3,913.65 / $15,360.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,000.00 / $16,960.00 / $27,252.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,739.45 / $3,739.45 / $5,824.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,739.45 / $3,739.45 / $3,739.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $19,200.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,960.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.00 / $18,656.00 / $24,458.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,584.00