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Maine rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.46 / $107.46 / $115.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $48.17 / $63.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $51.49 / $146.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $90.83
Cigna
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 / $46.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.46 / $107.46 / $115.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $50.67 / $71.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $67.16