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Minnesota 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
$72.38 / $72.38 / $72.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $72.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $88.66 / $214.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.25 / $60.31 / $60.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.75 / $332.05 / $404.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.25 / $111.55 / $132.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.37 / $303.02 / $380.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.25 / $104.25 / $111.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.58 / $101.24 / $111.47
Medica
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 / $109.35