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Connecticut rates for HCPCS Q0180

Dolasetron Mesylate 100 Mg Oral Fda Approved Prescription Anti-Emetic For Use As A Complete Therapeutic Substitute For An Iv Anti-Emetic At The Time Of Chemotherapy Treatment Not To Exceed A 24 Hour Dosage Regimen (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $94.32 / $202.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $61.52 / $61.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.40 / $107.01 / $309.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $61.52 / $61.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $105.06 / $121.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $60.32 / $63.34