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South Carolina rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.64 / $48.64 / $223.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $77.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.33 / $96.44 / $120.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $96.44 / $120.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $46.32 / $73.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.71 / $81.56 / $117.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.55 / $81.56 / $81.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $46.14 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $49.10 / $53.73