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Montana rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Facilitymedian $6 · 10th–90th $4$110%20%10th90th$6Professionalmedian $4 · 10th–90th $4$60%50%90th$4$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $6.03 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $6.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $15.85
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.01 / $10.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.03 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.62