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Indiana rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.26 / $1,630.82 / $4,199.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $686.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $1,151.00 / $1,392.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $794.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $863.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $719.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $708.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $721.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $610.03 / $690.60