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Louisiana rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.24 / $0.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $43.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.52 / $8.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.24