go back

Pennsylvania rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $11.61 / $15.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $4.65 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.29 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.65 / $6.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $9.86 / $15.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.69 / $9.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $15.10 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.29 / $4.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $7.85