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Ohio 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 / $157.07 / $225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $57.90 / $61.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.48 / $134.03 / $392.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $103.26 / $158.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.39 / $50.39 / $61.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.39 / $50.39 / $50.39
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $72.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $72.38