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Rhode Island rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.05 / $1,276.05 / $1,276.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $412.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $388.83 / $410.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
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 / $416.19