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Indiana rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $10.02 / $25.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.73 / $3.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $8.69 / $10.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $6.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $4.36 / $6.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.36 / $5.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $6.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.62 / $5.58