go back

Massachusetts rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $40 · 10th–90th $8–$790%10%20%10th90th$40Professionalmedian $40 · 10th–90th $8–$870%20%10th90th$40$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$38.90 / $53.70 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $131.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $26.30 / $199.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $16.98 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $16.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $26.30 / $199.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $46.77 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $46.77 / $63.10