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Montana rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $63.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.85 / $56.85 / $56.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $59.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $56.05 / $65.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $61.00 / $82.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32