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Texas 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 / $699.77 / $915.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $495.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $380.19
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 / $422.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.90 / $2,045.05 / $2,114.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.33 / $1,968.33 / $1,968.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $422.89 / $732.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $431.35 / $697.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $463.83 / $855.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $422.89 / $721.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $509.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $470.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.87 / $422.89 / $592.04