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Louisiana 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
$0.84 / $1.69 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.37 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $2.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.35 / $1.50