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New Mexico rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $48 · 10th–90th $40–$1380%20%40%10th90th$48Professionalmedian $40 · 10th–90th $39–$580%20%40%10th90th$40$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$43.65 / $61.66 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $77.62 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.85 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $112.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $46.77 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $48.98