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Tennessee 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
$60.08 / $60.08 / $118.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $61.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.61 / $144.76 / $271.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.55 / $477.55 / $477.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $60.32 / $60.32