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Illinois rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $7.41 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.27 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $21.88 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $10.96 / $17.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.25 / $5.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.25