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North Dakota 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 / $737.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $496.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.80 / $461.09 / $467.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.34 / $461.09 / $467.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.74 / $422.89 / $529.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $455.37 / $761.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $455.88 / $1,968.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $527.26