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Arkansas 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
$61.52 / $61.52 / $61.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $61.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $59.12 / $59.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $59.12 / $59.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $105.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $60.32 / $65.27