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Pralatrexate Injection

South Dakota rates for HCPCS J9307 · Folotyn

Injection, pralatrexate, 1 mg

Rates data updated July 2026.

How much does Pralatrexate Injection cost?

$407per mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $407 for each mg of this drug. The price depends on where it is billed: about $407 from a physician practice, and about $427 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$407
At a hospital outpatient department
$427

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$389 to $437
FacilityA hospital or hospital-owned outpatient department$427$389 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $389 to $776Professionalmedian $407 · 10th to 90th $389 to $501
$200$500$1K$2K$5Kfacility $427professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$467.74
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58

Where South Dakota sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 6th of 51

$407

MN $417IL $389

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.