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New Mexico rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $102.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.43
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.56 / $0.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.75 / $17.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20