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Nebraska rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $812.84 / $934.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $687.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.95 / $478.76 / $478.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.44 / $463.62 / $478.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.74 / $472.63 / $629.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $614.28 / $910.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.01 / $434.09 / $828.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.85 / $517.79 / $861.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.75 / $491.42 / $706.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.82 / $576.00 / $862.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $634.34