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New Hampshire rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $63.29 / $64.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $63.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.38 / $83.38 / $202.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $46.32 / $46.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $51.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $86.34 / $109.89