go back

Wyoming rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.83 / $388.83 / $388.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $431.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.13 / $460.15 / $460.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $370.40 / $370.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $481.53 / $555.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63