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Arizona rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.79 / $1,151.00 / $1,726.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.26 / $800.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.08 / $1,904.55 / $3,435.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.48 / $586.94 / $638.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $575.50 / $658.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $713.68 / $1,127.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $606.35 / $1,315.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $610.03