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Illinois rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $5.46 / $12.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $25.51 / $109.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $7.57 / $13.98
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
$5.58 / $5.58 / $5.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $7.41 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.63