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Rhode Island rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.54 / $150.54 / $150.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $90.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $51.56