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New Hampshire rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $466.60 / $478.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.83 / $392.63 / $408.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.39 / $706.73 / $1,716.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $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 / $657.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $416.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.63 / $182.19 / $231.88