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Utah rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.73 / $53.73 / $53.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $57.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.64 / $69.59 / $91.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $53.26 / $60.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.49 / $125.49 / $162.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $62.79 / $66.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32