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North Carolina rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $78 · 10th–90th $40–$1170%20%10th90th$78Professionalmedian $43 · 10th–90th $39–$910%50%10th90th$43$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$46.77 / $91.20 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $66.07 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $93.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $74.13 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $75.86 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $42.66 / $61.66
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $199.53