go back

Missouri 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 / $3.78 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $3.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $5.09 / $7.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $3.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $3.60 / $9.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.00 / $484.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.00 / $3.57