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Idaho rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $65.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $50.95 / $63.82
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 / $46.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.95 / $57.90 / $81.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $57.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $71.84 / $90.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.94 / $71.48 / $135.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $55.59 / $55.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $49.10