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Washington rates for HCPCS J8655

Netupitant Palonosetron Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.69 / $691.76 / $1,031.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $439.81 / $703.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.86 / $599.64 / $2,045.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.52 / $422.89 / $1,968.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $969.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $518.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.08 / $450.38 / $1,323.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.89 / $431.80 / $896.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $449.91 / $552.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $478.75 / $879.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.55 / $676.60 / $1,148.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.83 / $471.55 / $773.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.86 / $472.63 / $848.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.75 / $422.89 / $439.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $507.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.87 / $422.89 / $422.89