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Mississippi rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.28 / $690.60 / $727.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.26 / $690.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.60 / $489.60 / $538.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.75 / $259.75 / $550.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $658.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $597.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.88 / $708.35 / $841.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.95 / $575.50 / $736.64