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Pennsylvania rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $11.34 / $6,985.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $188.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.72 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.36 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $6.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $13.06 / $23.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.28 / $4.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $11.34 / $8,246.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.40 / $103.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $102.20 / $171.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.36 / $4.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $27.68 / $32.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $32.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.62 / $7.51