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Tennessee 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
$2.99 / $4.40 / $6.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $139.11 / $139.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.17 / $484.17 / $484.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.00