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Idaho rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.26 / $27.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $3.30
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 / $0.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.26 / $10.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $4.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.34 / $0.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20