go back

Oregon rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $82.13 / $92.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $84.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $89.48 / $92.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $52.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $116.08 / $151.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $52.74 / $105.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $52.34 / $60.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $52.74 / $96.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $56.05 / $105.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $65.88 / $86.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.93 / $118.88 / $208.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $55.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $53.73