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Pennsylvania 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

Facilitymedian $3 · 10th–90th $1–$40%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $3.47 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $5.75 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.78 / $2.19
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.02 / $6.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.51 / $3.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $6.03 / $6.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.91 / $1.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.87 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.41 / $2.95