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Alaska rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.98 / $715.98 / $2,531.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.95 / $431.89 / $730.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.56 / $730.29 / $1,022.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $785.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.49 / $564.17 / $657.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.92 / $358.70 / $358.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $730.29 / $1,022.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.70 / $401.36 / $500.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.19 / $588.95 / $1,177.89