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Kentucky 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 / $123.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $57.90 / $61.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.69 / $119.39 / $119.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $101.24 / $101.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.51 / $53.36 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $53.36 / $72.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $101.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $68.54