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Ohio 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 / $875.38 / $1,294.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.62 / $422.89 / $524.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.72 / $725.26 / $1,205.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $477.86 / $724.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $638.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $486.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $422.89 / $575.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $598.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.83 / $575.80 / $703.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $703.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $470.94 / $590.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $524.09