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Utah rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,936.00 / $15,936.00 / $15,936.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,936.00 / $15,936.00 / $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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,449.19 / $6,040.58 / $7,740.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,200.00 / $19,200.00 / $19,200.00