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Colorado 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
$57.90 / $57.90 / $223.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $59.35 / $61.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.20 / $109.18 / $193.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $101.24 / $101.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $73.53 / $101.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $171.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $60.32