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Maryland rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $40 · 10th–90th $40–$510%50%90th$40Professionalmedian $40 · 10th–90th $39–$910%20%10th90th$40$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $58.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $45.71