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Idaho rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $3.73 / $122.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.57 / $810.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $6.13 / $60.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.62 / $5.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $5.84 / $7.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $8.43 / $20.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.23 / $5.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.62