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Maryland 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
$3.06 / $3.06 / $3.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.06 / $3.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $53.15 / $62.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46