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Arkansas rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.95 / $491.42 / $507.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $444.04 / $507.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.29 / $444.29 / $444.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.44 / $444.29 / $444.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.60 / $399.87 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $458.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $541.29