go back

Maine rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $10.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.46 / $6.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.76 / $13.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $10.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.69 / $6.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.22