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New Mexico rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.61 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.92 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.31 / $11.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.47 / $9.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.25