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Arizona rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.56 / $94.57 / $138.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $69.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $104.27 / $230.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $50.02 / $55.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $57.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $59.52 / $106.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $52.74 / $102.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $64.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $49.10