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South Carolina 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
$2.95 / $2.95 / $11.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $3.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $51.93 / $66.31
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $7.31 / $48.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $48.41 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.00 / $3.03