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Missouri rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.35 / $828.12 / $1,126.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $431.35 / $828.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $570.90 / $1,519.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $537.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $538.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $572.26 / $828.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.04 / $434.09 / $1,968.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.97 / $422.89 / $528.61