go back

Louisiana 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
$3.60 / $3.60 / $115.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.60 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.93 / $44.50 / $56.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $56.09 / $57.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.00 / $3.75