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Arkansas rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.15 / $471.15 / $489.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $412.26 / $471.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.84 / $421.84 / $421.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.87 / $421.84 / $421.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.64 / $373.77 / $392.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $425.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.37 / $392.63 / $451.52