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New Hampshire rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $489.78 / $707.95