go back

Massachusetts rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $71.56 / $101.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $53.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $124.14 / $232.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $48.64 / $232.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.66 / $56.88 / $110.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $52.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $53.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $232.69 / $232.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $232.69
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.14 / $88.14 / $88.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $87.05