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Illinois rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $60.26 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $8,317.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $288.40 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $177.83 / $234.42
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $51.29