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Connecticut rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.52 / $883.67 / $1,608.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.25 / $733.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $874.88 / $1,725.06
Anthem 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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.22 / $624.37 / $719.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.95 / $575.50 / $610.03