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Arizona rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $398.11 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $831.76 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $389.05 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $416.87