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South Carolina rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.50 / $21.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.42 / $5.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $4.96 / $5.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $7.30 / $11.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $8.76 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.29 / $7.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.59 / $9.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $11.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.23 / $7.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.29 / $4.46