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New Hampshire rates for HCPCS Q0162

Ondansetron 1 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
$0.88 / $61.42 / $143.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $4.38 / $4.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $7.26 / $9.08