go back

Georgia rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $52.74 / $194.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $63.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $60.26 / $92.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $74.11 / $169.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $47.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $90.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $46.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $58.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $68.51 / $253.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $67.89 / $95.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $59.29