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Illinois rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $511.70 / $1,068.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $422.89 / $465.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.65 / $2,115.55 / $8,193.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $529.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.83 / $634.34 / $1,556.06
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.76 / $549.76 / $549.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.01 / $572.61 / $613.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $528.61