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Texas 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 / $2.95 / $56.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.95 / $3.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $21.50 / $42.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $3.04 / $48.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $35.15 / $67.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.67 / $16.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $3.06 / $48.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.95 / $85.14 / $85.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.20