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Texas rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $8.77 / $12.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $24.34 / $24.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.96 / $7.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.38 / $7.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.15 / $15.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $7.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $7.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.46 / $6.01