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Oklahoma rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $419.93 / $713.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $400.48 / $471.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
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 / $392.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.48 / $419.93 / $569.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.27 / $388.83 / $489.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $451.52