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Vermont rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Facilitymedian $5 · 10th–90th $4–$50%50%10th$5Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $4.90 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.90
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $23.99