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Rhode Island rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.39 / $1,374.39 / $1,374.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $444.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $409.52 / $703.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Cigna
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 / $470.77