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Tennessee rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.38 / $25.00
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 / $26.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $360.42 / $360.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.58 / $155.58 / $155.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24