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South 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
$1.00 / $5.75 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.78 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.35 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.90 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.78 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.35 / $1.48