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Idaho rates for HCPCS J3305

Inj Trimetrexate Glucoronate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.55 / $176.55 / $176.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $150.07 / $176.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.21 / $151.83 / $217.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $191.52