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Wyoming rates for HCPCS J1627

Injection, granisetron, extended-release, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.90 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.25