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Indiana rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $141.24 / $635.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $141.24 / $141.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $149.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $149.71 / $202.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $171.07