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Minnesota rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $53.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $66.23 / $83.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $51.70 / $65.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.85 / $164.95 / $200.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $52.74 / $60.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $143.59 / $180.97
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $47.21 / $55.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $116.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $58.71 / $135.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $85.88