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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
$57.90 / $126.25 / $159.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $57.90 / $72.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.42 / $114.61 / $114.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $114.61 / $114.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $97.28 / $143.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $86.85 / $112.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $477.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.31 / $93.08 / $141.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.83 / $97.28 / $143.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.80 / $77.80 / $160.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $60.32 / $72.38