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Maryland rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $606.35 / $606.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $812.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.51 / $606.35 / $606.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.10 / $658.10 / $708.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $683.50
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 / $696.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.10 / $658.10 / $818.57