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Connecticut rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $630.96 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $426.58