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Vermont rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $707.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.75 / $478.75 / $478.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $463.03 / $771.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $771.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $463.03 / $771.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $771.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $448.26 / $977.05