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Pennsylvania rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.62 / $958.28 / $1,244.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $495.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.68 / $458.80 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.85 / $438.85 / $438.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $422.89 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $438.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.85 / $438.85 / $592.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.62 / $814.95 / $1,244.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.62 / $422.89 / $707.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.67 / $726.10 / $726.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $422.89 / $422.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $441.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.53 / $409.53 / $475.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.53 / $409.53 / $475.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $703.90