go back

Kansas rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.80 / $106.86 / $232.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $52.74 / $106.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $77.61 / $100.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $47.90 / $47.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $46.32 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $73.84 / $100.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $58.71 / $235.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $60.22