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Missouri rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $588.84 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
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 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $676.08