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Michigan rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.11 / $15.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $9.33 / $18.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.53 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $4.29 / $4.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $9.92 / $14.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.42 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.29 / $7.72
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