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West Virginia rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.86 / $383.86 / $427.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $412.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $431.89 / $588.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $910.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $374.16 / $392.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $407.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.77 / $416.19 / $439.75