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Utah rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.33 / $5.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $7.55 / $8.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $5.36 / $7.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $11.71 / $16.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $5.82 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29