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Washington rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $43 · 10th–90th $8$1450%10%20%10th90th$43Professionalmedian $40 · 10th–90th $9$780%20%10th90th$40$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$42.66 / $69.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $69.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $79.43 / $165.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $11.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $63.10
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $50.12 / $52.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $173.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $79.43 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $39.81 / $52.48