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Missouri rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $1.12 / $246.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $1.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.38
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 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.35 / $1.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.24 / $155.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $4.12