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North Dakota 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 / $549.54 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $660.69 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $676.08