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Nebraska rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $102.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $47.25 / $6,746.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $92.30 / $92.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.57 / $52.44 / $52.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.82 / $52.43 / $59.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $69.53 / $81.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $79.11 / $117.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $55.16 / $137.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.62 / $79.04 / $109.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.62 / $79.04 / $96.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $74.20 / $94.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $55.12