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Wyoming rates for HCPCS J7310

Ganciclovir, 4.5 mg, long-acting implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,457.86 / $3,457.86 / $3,513.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $19,200.00 / $19,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,320.00 / $16,320.00 / $24,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $19,200.00