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New York 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 / $724.44 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $524.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $616.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,778.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $724.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $588.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $588.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $707.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $660.69
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $588.84