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Ohio 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 / $7.81 / $12.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $3.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $6.67 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.81 / $3.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $45.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $165.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.93