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Iowa rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $339.35 / $524.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $141.24 / $141.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $164.20 / $194.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $210.74 / $256.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $186.59 / $252.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $186.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $186.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.59 / $267.12 / $267.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $140.90