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Oklahoma 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 / $442.28 / $751.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $431.35 / $507.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.74 / $442.28 / $828.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.04 / $409.52 / $608.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $503.24