go back

New Hampshire rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $491.42 / $503.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $442.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.56 / $761.20 / $1,848.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $422.89 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $708.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $470.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.97 / $461.97 / $587.96