go back

Michigan rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $5.27 / $8.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.41 / $0.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $4.49 / $8.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $4.37