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Maine rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $93 · 10th–90th $11–$1000%20%40%10th90th$93Professionalmedian $39 · 10th–90th $8–$780%20%10th90th$39$10.0$50.0$200.0$1.0K$5.0K

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
$93.33 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.33 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $22.91 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $38.90 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $64.57