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Michigan rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $6.74 / $1,733.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $6.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $9.48 / $18.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.51 / $5.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $4.36 / $6.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.36 / $10.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $10.71 / $898.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.36 / $5.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.36 / $6.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.84 / $5.58