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California rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $93.33 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $44.67 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $1.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.46 / $2.57
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.16 / $2.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.16