go back

Louisiana rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.09 / $430.00 / $905.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $507.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.88 / $449.91 / $563.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.91 / $449.91 / $458.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.06 / $422.89 / $515.92