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Washington rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $7.46 / $5,423.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.51 / $102.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.84 / $359.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.80 / $2,120.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.36 / $12.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $51.41 / $158.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $59.21 / $141.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.36 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $4.66 / $13.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $7.96 / $44.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $7.11 / $12.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.43 / $59.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.80 / $5.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $5.27