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Maine rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $2,371.85 / $8,679.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.51 / $4.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.84 / $13.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $10.90 / $8,679.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.53 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $6.32