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New Hampshire rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.40
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
$0.23 / $0.28 / $0.38
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
$0.17 / $0.18 / $0.18
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 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.84 / $2.82