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South Dakota 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

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$80%20%10th90th$2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.17
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.86 / $2.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $4.07 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $56.23 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.17
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31