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Arkansas rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.59 / $63.29 / $66.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $48.64 / $63.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.61 / $96.61 / $96.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.10 / $96.61 / $96.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $46.32 / $52.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $50.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $59.29