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Oklahoma 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 / $588.84 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $630.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $660.69 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $575.44 / $676.08