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Nebraska 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
$57.54 / $114.82 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $60.26 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $109.65 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $112.20 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $79.43 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $100.00 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $144.54 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $66.07