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Wyoming rates for HCPCS J1454

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $606.35 / $606.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.26 / $667.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.62 / $801.90 / $801.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.92 / $542.92 / $542.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $705.81 / $814.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50