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New York rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $52 · 10th–90th $40$1120%20%10th90th$52Professionalmedian $52 · 10th–90th $39$660%20%40%10th90th$52$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$39.81 / $52.48 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $27.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $11.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $50.12 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $66.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $52.48
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77