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Utah rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $643.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.53 / $808.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.39 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.71 / $79.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $13.32 / $135.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.91 / $6.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36