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Vermont rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $815.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $444.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $423.13 / $670.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $670.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $423.13 / $670.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $670.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.00 / $416.19 / $908.66