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Vermont rates for HCPCS J9304

Injection Pemetrexed (Pemfexy) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $90.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.44 / $52.44 / $52.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $52.47 / $87.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $87.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $52.47 / $87.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $87.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $49.10 / $107.02