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New Mexico rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $61.66 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $112.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $40.74 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $46.77