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Maryland rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $9.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $3.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.22 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $4.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.31