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Massachusetts 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 / $1.35 / $2.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $610.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.66 / $3.22
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 / $1.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $9.48 / $9.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $610.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.79