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Rhode Island rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,400.00 / $62,400.00 / $62,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,442.20 / $15,936.00 / $16,320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,460.01 / $34,460.01 / $38,288.90
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
$7,680.00 / $19,200.00 / $19,200.00