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Missouri 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 / $76.00 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $57.90 / $72.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $102.54 / $158.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $60.32 / $72.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $72.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $72.38 / $144.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $477.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.51 / $60.32 / $69.37