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Wyoming rates for HCPCS J9307

Injection, pralatrexate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $416.87