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Arizona rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $6.90 / $28.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.69 / $1.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.21 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.52 / $17.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $155.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20