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California rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.86 / $67.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $4.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $26.00 / $37.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $1.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.92 / $1.62
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.26 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.23 / $0.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $360.42 / $360.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.58 / $155.58 / $155.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.47 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.35 / $8.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.93 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.39