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West Virginia rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.27 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $6.46