go back

Idaho rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $388.83 / $447.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.83 / $404.41 / $490.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $370.40 / $392.63
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
$258.08 / $444.85 / $628.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $416.19 / $490.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.20 / $336.39 / $654.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.04 / $448.70 / $762.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.89 / $471.15 / $471.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $416.19