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New York 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
$49.94 / $61.52 / $120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.94 / $60.08 / $61.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $101.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $85.00 / $107.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $91.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.31 / $114.61 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $60.31 / $123.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $60.32 / $61.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $61.52 / $61.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $105.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $84.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.72 / $61.52 / $61.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $61.52 / $61.52