go back

New Hampshire 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
$3.06 / $3.06 / $3.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.06 / $3.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.50 / $6.00
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 / $3.06
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 / $2.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $5.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.55 / $6.03