go back

Missouri rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $61.66 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $6,606.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.77 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $56.23 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $42.66 / $51.29