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New Mexico rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $467.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $562.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $389.05 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $416.87