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Iowa rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Facilitymedian $427 · 10th–90th $389–$4270%50%10th$427Professionalmedian $398 · 10th–90th $389–$6170%20%40%10th90th$398$1.0$5.0$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $501.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $645.65 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $602.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $426.58 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $457.09 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $524.81 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $691.83 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $457.09
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $426.58