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Hawaii rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.15 / $12.15 / $12.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.03 / $8.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.15 / $6.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $6.67 / $7.78