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Massachusetts 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 / $61.52 / $144.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $61.52 / $61.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.61 / $144.76 / $144.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $477.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $84.44 / $164.06
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $93.90 / $139.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $101.24 / $101.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.61 / $144.76 / $144.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $477.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $101.24