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Arizona rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.91 / $353.10 / $529.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.01 / $143.01 / $171.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.71 / $149.71 / $149.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.63 / $171.61 / $204.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80