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New York rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Facilitymedian $5 · 10th–90th $4–$7,4130%10%20%10th90th$5Professionalmedian $4 · 10th–90th $4–$60%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.75 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $79.43
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.37 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.75
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $13.18 / $21.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $6.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $4.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $13.49 / $15.14
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $27.54 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.37 / $5.89
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $4.47