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Alaska rates for HCPCS Q0180

Dolasetron mesylate, 100 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 24-hour dosage regimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.73 / $341.99 / $341.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $97.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $97.71 / $139.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.86 / $81.23 / $81.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.33 / $101.33 / $159.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.38 / $86.86 / $86.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.62 / $97.71 / $144.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $70.94 / $89.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $90.48 / $168.08