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North Dakota 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 / $110.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $72.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $104.25 / $130.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $82.97 / $103.18
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 / $67.56