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West Virginia 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
$61.52 / $62.58 / $62.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $60.08 / $61.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.23 / $49.23 / $73.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $47.68 / $49.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $60.32 / $72.38