go back

Alaska rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $6.00 / $48.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.40 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.34 / $28.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $1.51 / $2.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.30 / $1.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.48 / $3.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.35 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.56