go back

Utah 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
$1.57 / $1.57 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.37 / $1.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.44 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.77 / $3.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.83 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35