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Vermont rates for HCPCS J1627

Inj, granisetron, xr, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $6.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $5.98 / $9.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $9.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $5.98 / $9.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $4.29 / $9.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $9.91