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West Virginia rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.78 / $52.74 / $58.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.32 / $50.95 / $69.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $107.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $90.83 / $90.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $48.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $50.95 / $102.41