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Indiana rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.62 / $960.58 / $2,836.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $465.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $845.78 / $1,023.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $583.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $634.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $528.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $519.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $478.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $634.34