go back

Maine rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.38 / $0.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.30