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West 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 / $3.15 / $303.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.99 / $3.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.32 / $143.32 / $143.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $59.05