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Wisconsin 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 $1–$410%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$510%20%10th90th$3$0.1$0.2$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
$2.00 / $6.46 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $3.09
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.88 / $4.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $6.31 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.88 / $4.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.07 / $46.77
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $81.28 / $131.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $85.11 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.80 / $478.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.47