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Indiana rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.67 / $302.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.00 / $23.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.38 / $0.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.35 / $0.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
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 / $0.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $4.12