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Montana 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
$2.88 / $2.99 / $4.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.02 / $60.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $3.06 / $60.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $3.21 / $63.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.13 / $60.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00