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Illinois rates for HCPCS Q0167

Dronabinol, 2.5 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 48-hour dosage regimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.34 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $15.49 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.66 / $3.63
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $2.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.48