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Indiana rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $13.70 / $34.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $8.58 / $10.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $7.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.71