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Maine rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.90 / $910.90 / $981.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $408.33 / $470.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.21 / $436.49 / $1,244.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $407.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.77 / $392.63 / $392.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.90 / $910.90 / $981.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $412.26 / $653.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $569.30