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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
$46.78 / $75.79 / $148.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $63.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.99 / $50.99 / $76.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $52.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $46.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.32 / $60.61