go back

Louisiana rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.55 / $176.55 / $247.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.55 / $176.55 / $176.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.69 / $164.69 / $247.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $164.69 / $167.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $176.55