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Arizona rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.49 / $845.78 / $1,268.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $427.12 / $540.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.74 / $1,107.97 / $1,941.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.33 / $326.10 / $366.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $422.89 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $486.32 / $828.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $409.52 / $888.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $448.26