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Virginia 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
$3.06 / $3.34 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.06 / $3.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $3.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46
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 / $3.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.04 / $46.56 / $62.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.15 / $49.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.15 / $67.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.18