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South Carolina rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $776.25 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $380.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $954.99 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $436.52