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Vermont rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $1,041.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.51 / $651.51 / $651.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $716.46 / $1,188.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $1,188.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $716.46 / $1,188.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $1,188.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.85 / $610.03 / $1,329.64