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North Dakota rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $94.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $63.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.25 / $50.50 / $51.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $50.50 / $51.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $47.68 / $59.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $66.23 / $89.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.60 / $58.71 / $235.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $51.56 / $56.00