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Utah rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $588.84 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $416.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $407.38