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Kansas rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.48 / $801.90 / $2,667.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $621.54 / $805.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.12 / $848.34 / $892.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.12 / $622.12 / $622.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $575.50 / $754.00
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 / $801.90 / $925.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $670.85 / $2,905.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $679.09