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South Carolina rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.77 / $412.26 / $1,650.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.95 / $392.63 / $412.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.60 / $310.29 / $544.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $437.14 / $524.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $392.63 / $448.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $407.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.63 / $351.95 / $606.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.63 / $165.63 / $559.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.38 / $403.06 / $950.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $844.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.74 / $416.19 / $455.45