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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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $69.18 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $40.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $8.32
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.77 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $42.66