| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.45 | $1.45 | $7.94 | |
BCBS
| Professional | $1.15 | $1.45 | $1.45 | |
Medica
| Professional | $6.92 | $6.92 | $6.92 | |
United
| Professional | $575.44 | $575.44 | $575.44 |
Unspecified oral dosage form, 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 48-hour dosage regimen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.45 | $1.45 | $7.94 | |
BCBS
| Professional | $1.15 | $1.45 | $1.45 | |
Medica
| Professional | $6.92 | $6.92 | $6.92 | |
United
| Professional | $575.44 | $575.44 | $575.44 |