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Minnesota 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 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $794.33 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $489.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,548.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $616.60