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Oklahoma rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $4.03 / $1,184.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $5.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.31 / $97.98 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $4.63 / $79.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.97 / $2,120.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.01