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Washington, DC 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 / $1,891.81 / $2,304.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $639.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.51 / $606.35 / $606.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $542.92 / $575.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $732.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.37 / $489.18 / $575.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $640.65 / $684.85