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North Carolina 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 / $83.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $61.52 / $61.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.86 / $204.36 / $215.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $69.67 / $100.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $72.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $63.84 / $95.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.84 / $73.00 / $92.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $72.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.61 / $144.76 / $144.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.55 / $477.55 / $477.55