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Indiana rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $16 · 10th–90th $10$1230%10%20%10th90th$16Professionalmedian $40 · 10th–90th $9$550%20%10th90th$40$5.0$10.0$20.0$50.0$100.0$200.0

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 / $83.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $53.70