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Oklahoma rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.03 / $56.96 / $80.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $50.03 / $64.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $46.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $59.81 / $106.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $52.74 / $176.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.60 / $51.60 / $51.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $55.12