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North Dakota rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $699.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $471.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.97 / $428.10 / $433.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.34 / $428.10 / $433.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.81 / $392.63 / $483.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.26 / $388.83 / $706.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.83 / $432.85 / $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
$392.63 / $392.63 / $489.53