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Arizona rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $8.75 / $12.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $6.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $14.92 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.63 / $5.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $5.63 / $8.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $4.96 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29