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Alaska rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.69 / $754.09 / $2,665.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $465.18 / $786.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.12 / $786.58 / $1,101.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $845.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.58 / $1,159.36 / $1,821.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.12 / $993.74 / $993.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $786.58 / $1,159.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $480.30 / $828.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.26 / $634.34 / $1,268.67