go back

Indiana rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $83.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $60.26 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $54.95 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $42.66 / $51.29