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Michigan rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $435.58 / $1,316.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.81 / $422.89 / $465.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.28 / $922.36 / $1,757.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.33 / $448.10 / $581.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $498.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $822.53 / $1,173.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.81 / $422.89 / $507.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.01 / $449.91 / $613.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $470.77 / $541.39