go back

Massachusetts 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 / $851.14 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,071.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,445.44 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $912.01 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,445.44 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $676.08