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Alaska rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.50 / $2,079.79 / $3,947.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $633.04 / $1,070.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $1,070.44 / $1,530.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $1,214.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.36 / $1,122.66 / $1,764.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.90 / $962.28 / $962.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $1,070.44 / $1,603.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $660.48 / $962.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $863.25 / $1,726.50