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Tennessee 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 / $788.26 / $1,288.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $733.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $657.83 / $743.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $658.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.52 / $841.85 / $3,478.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,905.58 / $2,905.58 / $2,905.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.44 / $575.50 / $640.65