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Illinois 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
$2.88 / $6.30 / $33.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $3.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $11.23 / $29.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $19.19 / $67.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.24