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Wyoming 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 / $409.52 / $409.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $465.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.90 / $828.12 / $828.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.96 / $398.96 / $398.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $518.64 / $598.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.89 / $422.89 / $422.89