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Utah rates for HCPCS J1626

Injection, granisetron HCl, 100 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $3.10 / $31.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19