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South Dakota 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
$22.48 / $524.40 / $720.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $3.60 / $7.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $530.00 / $530.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.45