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North Carolina 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
$0.78 / $0.87 / $5.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.35 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $9.26 / $11.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.23 / $4.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.35 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $3.06 / $6.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.07 / $6.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.22 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.54 / $610.54 / $610.54