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Wisconsin rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Facilitymedian $661 · 10th–90th $562$1,6600%20%10th90th$661Professionalmedian $550 · 10th–90th $525$1,1220%50%10th90th$550$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,412.54 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $645.65 / $1,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $630.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,148.15 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $660.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $676.08 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $741.31 / $741.31
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,148.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $933.25 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $954.99 / $3,467.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $707.95 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $602.56 / $707.95