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Louisiana rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $60.26 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.81 / $48.98