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Nebraska rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $392.63 / $867.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $652.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.82 / $444.50 / $444.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.18 / $440.19 / $444.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $460.89 / $575.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.00 / $550.24 / $738.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $388.83 / $583.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.75 / $560.65 / $672.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.92 / $485.90 / $583.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.50 / $459.48 / $801.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.77 / $392.63 / $467.23