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Hawaii rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.36
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.37 / $0.89