go back

Idaho rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $409.52 / $470.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $435.58 / $528.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $422.89
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
$409.52 / $528.62 / $740.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.27 / $528.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.89 / $369.05 / $797.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.25 / $590.79 / $1,004.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.47 / $507.47 / $528.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $448.26