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South Carolina rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.28 / $604.28 / $2,574.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.25 / $725.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.03 / $712.30 / $1,115.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $719.38 / $925.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $575.50 / $789.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $597.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.52 / $575.50 / $976.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.52 / $529.52 / $881.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.27 / $664.52 / $1,515.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.18 / $610.03 / $670.66