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Vermont 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
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.06 / $3.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $9.00