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Maine rates for HCPCS J3305

Injection, trimetrexate glucuronate, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.60 / $409.60 / $441.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $150.07 / $150.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $149.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.60 / $409.60 / $441.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.07 / $150.07 / $441.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $136.80 / $205.20