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Arkansas rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.70 / $5.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.50 / $5.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $5.38 / $5.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.29 / $5.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.29 / $4.93