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Maryland rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $501.19