go back

Maryland rates for HCPCS J9305

Pemetrexed Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $173.88 / $5,815.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $188.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.73 / $4.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $5.27 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.36 / $31.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.84 / $5.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.27 / $5.71