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Louisiana rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $5.21 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $4.04 / $4.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.99
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.29 / $4.93