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Idaho rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $4.96 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.72 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $5.36 / $7.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.55 / $5.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $8.19 / $10.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.91 / $8.44 / $15.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29