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Oregon 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 / $511.90 / $845.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $704.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $565.86 / $818.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $485.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.10 / $894.13 / $1,072.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $444.03 / $910.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.27 / $549.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $479.40 / $1,268.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $500.30 / $910.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $500.30 / $548.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.62 / $630.17 / $1,493.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $486.32