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Virginia rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,220.55 / $16,320.00 / $35,251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,813.51 / $16,320.00 / $16,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $16,320.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.00 / $16,960.00 / $16,960.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,669.67 / $4,443.00 / $5,977.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,562.00 / $16,320.00 / $19,200.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.00 / $16,320.00 / $23,040.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00