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Tennessee rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,947.35 / $5,921.03 / $8,171.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,861.64 / $3,971.43 / $13,248.00
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 / $16,960.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,320.00 / $26,288.00 / $26,288.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00