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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
$380.19 / $616.60 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $562.34 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $870.96 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $537.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $691.83 / $1,479.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $436.52