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New York rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.37 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.34 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $4.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $4.32 / $4.32
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $1.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $1.71 / $1.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.35 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $1.30
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $4.32 / $4.32