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Utah rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $537.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,348.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $457.09 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05