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Washington, DC 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 / $61.52 / $61.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $56.76 / $56.76
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 / $110.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $65.93 / $135.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $97.77