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Illinois rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.33 / $98.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.70 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.43
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 / $0.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.99 / $20.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $4.12