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Iowa rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $50 · 10th–90th $44–$1070%20%10th90th$50Professionalmedian $41 · 10th–90th $39–$1120%20%10th90th$41$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$39.81 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $40.74 / $69.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $147.91 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $79.43 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $30.20 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $54.95
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $50.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $50.12