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California rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $47 · 10th–90th $9$1020%10%20%10th90th$47Professionalmedian $41 · 10th–90th $39$1120%20%40%10th90th$41$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $16.22 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $41.69 / $104.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $107.15
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $120.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $66.07
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.71 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $63.10