go back

Alaska rates for HCPCS Q0166

Granisetron HCl, 1 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 24-hour dosage regimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $17.01 / $17.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.86 / $73.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.80 / $3.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $7.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.32 / $4.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $4.86 / $11.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.96 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.50 / $8.36