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Virginia rates for HCPCS J8655

Netupitant 300 mg and palonosetron 0.5 mg, oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $469.56 / $933.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $427.12 / $465.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $875.38 / $1,382.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $567.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $409.52 / $422.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $422.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.46 / $422.89 / $828.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $448.26 / $750.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.06 / $565.15 / $984.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.89 / $507.47 / $828.12
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $507.47 / $828.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $499.44