go back

Idaho rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $602.56 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $478.63 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $575.44