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Illinois rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $286.01 / $473.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $141.24 / $150.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.60 / $532.89 / $2,242.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.22 / $404.22 / $404.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $192.74 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.80 / $179.80 / $179.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $149.97