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Texas rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.46 / $40.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.00 / $32.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.43 / $3.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.33 / $15.45
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.33 / $5.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
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 / $0.20
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.25 / $10.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $1.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.24 / $9.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $4.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.27