go back

Alabama rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $1,130.68 / $1,155.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $690.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.53 / $580.72 / $781.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.40 / $575.50 / $610.03