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New Mexico rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.44 / $638.44 / $638.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $573.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $703.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.06 / $430.56 / $666.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $703.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $509.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $448.26