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Wisconsin rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Facilitymedian $52 · 10th–90th $16$1200%10%10th90th$52Professionalmedian $40 · 10th–90th $8$1200%20%10th90th$40$10.0$50.0$200.0$1.0K$5.0K

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
$40.74 / $60.26 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $77.62 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $51.29 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $93.33 / $93.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $58.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $234.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $87.10
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $75.86 / $165.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $91.20 / $234.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $97.72 / $234.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $46.77 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $58.88