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Nebraska 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 / $6.28 / $7.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $4.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.66 / $1.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.65 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $3.06 / $85.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.62 / $16.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $484.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $46.62 / $70.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.81 / $70.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $52.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $4.50