go back

Arkansas rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $4.70 / $7,407.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $5.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.36 / $4.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.05 / $4.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $5.22 / $6.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.36 / $10.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.36 / $74.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.72
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.36 / $5.58