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Minnesota 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 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.91 / $75.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $50.18 / $50.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $4.78 / $5.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.88 / $2.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.36 / $5.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $2.77 / $68.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $484.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $5.44