go back

Montana rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.55 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $177.83 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.68 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.68 / $56.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $11.75 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.75 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.80