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Maine rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.11 / $981.11 / $1,057.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $439.81 / $495.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.12 / $470.13 / $1,340.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $438.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $703.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.11 / $981.11 / $1,057.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $444.04 / $687.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $613.19