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Maryland 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 / $4.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.96 / $4.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $5.51 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.29 / $8.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $5.51 / $6.70