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Nebraska rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $1,106.17 / $1,290.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $734.83 / $1,145.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.79 / $651.53 / $651.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.95 / $651.52 / $686.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $759.45 / $987.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $939.45 / $1,218.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $632.88 / $909.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.22 / $759.45 / $1,457.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.22 / $759.45 / $1,456.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.91 / $853.00 / $1,174.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.73 / $575.50 / $684.85