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Utah rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.45 / $455.45 / $455.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $396.56 / $490.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.47 / $493.65 / $567.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.18 / $392.63 / $504.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.53 / $643.13 / $867.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.89 / $532.17 / $560.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63