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Maine 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
$2.95 / $3.06 / $3.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $9.27 / $9.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.06 / $3.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.06 / $3.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.00 / $4.34