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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
$422.89 / $422.89 / $422.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $495.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.44 / $407.83 / $799.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.05 / $409.52 / $410.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.83 / $1,298.95 / $1,581.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.90 / $458.41 / $529.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.09 / $1,148.40 / $1,425.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.74 / $416.74 / $435.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $409.52 / $902.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $455.88 / $1,053.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $784.04