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New Mexico rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.30 / $945.30 / $945.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.25 / $790.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.66 / $392.66 / $786.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $822.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.35 / $920.85 / $1,239.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $822.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $849.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $610.03