go back

Oklahoma rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,133.84 / $3,133.84 / $6,236.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.84 / $3,133.84 / $15,936.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,960.00 / $16,960.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,133.84 / $16,320.00 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,440.00 / $19,200.00 / $19,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,480.00 / $19,200.00 / $19,200.00