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West Virginia rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.60 / $606.35 / $748.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $639.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $633.04 / $863.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $1,334.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $708.35 / $708.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $597.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.41 / $610.03 / $661.83