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Wyoming rates for HCPCS J9304

Injection, pemetrexed (Pemfexy), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $52.74 / $52.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.78 / $50.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.83 / $106.86 / $106.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $43.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $56.81 / $65.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $46.32 / $46.32