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California rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $54.00 / $899.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $2.06 / $93.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $33.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $1.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.44 / $2.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.11 / $306.11 / $306.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.24 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $2.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.20