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Montana rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $6.04 / $6.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $4.97 / $7.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $6.85 / $7.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29