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Connecticut 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 / $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