go back

Missouri rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.86 / $444.59 / $522.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $400.48 / $471.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $530.04 / $1,410.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $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 / $463.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.80 / $444.59 / $696.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.51 / $411.21 / $6,283.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.33 / $392.63 / $455.45