go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $3.06 / $3.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $4.04 / $4.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $3.00 / $4.50