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Maryland rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $52.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $77.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $52.75 / $52.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.70 / $52.70 / $90.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $54.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $46.32 / $92.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.60 / $51.60 / $51.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $51.56 / $56.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $52.70 / $66.45