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South Dakota rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $50 · 10th–90th $39–$890%20%10th90th$50Professionalmedian $40 · 10th–90th $39–$650%20%40%10th90th$40$10.0$20.0$50.0$100.0$200.0

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
$38.90 / $38.90 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $75.86 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $69.18 / $79.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $63.10
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $50.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $50.12