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Utah rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Facilitymedian $55 · 10th–90th $26–$1320%20%10th90th$55Professionalmedian $12 · 10th–90th $1–$620%10%10th90th$12$0.2$1.0$5.0$20.0$100.0$500.0

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
$26.30 / $54.95 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $12.88 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.58 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.36 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.68 / $10.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.50